Information Collection

Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers

IC 209289 under ICR 201301-0920-010 · OMB 0920-0840.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Att 2a Screening Instrument.docx Other-WORD
Att 2b Exploratory-HIV Testing-IDI.docx Other-WORD
Att 2c Exploratory-HIV Prevention-IDI.docx Other-WORD
Att 2d Exploratory-Comm Aware-IDI.docx Other-WORD
Att 2e Exploratory-PWP-IDI.docx Other-WORD
Att 2f Consumer Msg Testing-IDI.docx Other-WORD
Att 2g Consumer Concept Testing-IDI.docx Other-WORD
Att 2h Consumer Materials Testing-IDI.docx Other-WORD
Att 2i Exploratory-HIV Testing-FG.docx Other-WORD
Att 2k Exploratory-HIV Comm Aware-FG.docx Other-WORD
Att 2l Exploratory-HIV PWP-FG.docx Other-WORD
Att 2j Exploratory-HIV Prevention-FG.docx Other-WORD
Att 2m Consumer Concept Testing-FG.docx Other-WORD
Att 2n Consumer Message Testing-FG.docx Other-WORD
Att 2o Consumer MaterialsTesting.docx Other-WORD
Att 2p Paper Pencil - HIV Testing.docx Other-WORD
Att 2q Paper Pencil - HIV Prevention.docx Other-WORD
Att 2r Paper Pencil - HIV Comm and Awarness.docx Other-WORD
Att 2s Paper Pencil - HIV Prevention with Positives.docx Other-WORD
Att 2t Intercept Guide.docx Other-WORD
Supporting Statement A.docx
Sup Sta A
IC Document
Supporting Statement B.docx
Sup Sta B
IC Document
Att 1_Authorizing Legislation.pdf
Att 1_Authorizing Legislation
IC Document
Att 3a Consent Form-Exploratory-IDI FG.docx
Att 3a Consent Form-Exploratory-IDI FG
IC Document
Att 3b Consent Form-Msg Testing-IDI FG.docx
Att 3b Consent Form-Msg Testing-IDI FG
IC Document
Att 3c Consent Form-Intercept.docx
Att 3c Consent Form-Intercept
IC Document
Att 4 Data Management Ack.docx
Att 4 Data Management Ack
IC Document
Att 5 Intercept Receipt Form.docx
Att 5 Intercept Receipt Form
IC Document
Att 6 Messages.docx
Att 6 Messages
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD No No Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,038 0 0 0 0 0
Annual IC Time Burden (Hours) 2,061 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Sup Sta A 11/06/2013
Sup Sta B 11/06/2013
Att 1_Authorizing Legislation 11/06/2013
Att 3a Consent Form-Exploratory-IDI FG 11/06/2013
Att 3b Consent Form-Msg Testing-IDI FG 11/06/2013
Att 3c Consent Form-Intercept 11/06/2013
Att 4 Data Management Ack 11/06/2013
Att 5 Intercept Receipt Form 11/06/2013
Att 6 Messages 11/06/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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